SIDO Cambodia
 
 
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Health Program
In Cambodia, there are many NGOs working in the Health sector. Most people have received a lot of health education and often already know the health messages that NGOs want to give them. But people will not use health information unless they feel that their health is important.
This means that another education campaign about health will not result in behavior change or improved health. What is needed is a way to support people who are motivated about health and ready to make changes to improve their health. Health promotion is a way to help people to increase control over their health outcomes. It works to solve health problems by increasing knowledge and linking people to supportive environments and supportive people.
  sido health
   
  • Health Promotion and Education Project
  • HIV/AIDS Education Project
  • TB Education Project
  • Malaria Education Project
  • Pediatric Education Project
  • Sexual and Reproductive Health Project
  • Health Professional Exposure Visit Project
  • Clinic and Hospital Health Services Project
  • Rural Community Health Construction Project
  • Other Project Activities
   
 

Situation Analysis

Over the past decade, the Royal Government of Cambodia has contributed significantly to improved health care in Cambodia. SIDO with its working partners and by working with the Ministry of Health (MoH), as well as an anticipated network of LNGOs and CBOs, international initiatives and other donors, has been heavily putting and will continue the investment in the Cambodian health sector and remains systems and improving the health status of the Poor Cambodians.
 
 
Other focus activities
Reproductive health and maternal is in need of improvement
Maternal mortality rates in Cambodia rank amongst the highest in South East Asia, resulting in about 1,800 deaths each year. More appropriate birth spacing and access to quality maternal health statue of mothers as well as children. A remarkable number of midwives were trained in Life Saving Skills resulting in an increase in deliveries attended by trained health personnel. Cambodia’s current fertility rate stands at above 3, with modern contraceptive prevalence estimated at 27% (CDHS 2005). Our programs are making a difference and contribute to women’s increased current use and planned future use of modern contraceptives. In addition, the number of condoms sold through social marketing, community-based distribution, outreach workers and health facilities also has been increased rapidly.
SIDO’s health portfolio and networking in 24 towns and provinces in Cambodia continues to evolve in response to the needs of the people. SIDO with its partners tried their best with the Ministry of Health reinforces our commitment towards strengthening health systems and public health initiatives. We pride ourselves on developing and investing in evidenced-based programs that respect traditional values, while providing the best scientific data available.
 
 
Major Infectious Diseases in need of prevention and control
Top priorities for the TB program are to maintain the section rate for smear-positive pulmonary TB at 70% higher; maintain the current cure rate of over 85% and expand the DOTS services.
Approximately two-thirds of all Cambodians carry the tuberculosis bacterium, one of the highest rates in the world. About 12,000 Cambodians die annually from TB. While malaria mortality rates have been halved since 1998, it is still a major killer especially among children.
 
 
 
SIDO challenge exploration and interventions in TB control have been launching to its relevant TB institutions in each province from the TB Centre by coordinating and team work to achieve anticipated impressive results. For example, SIDO will continue the net of work partners within region and province to expand the reach of community Directly Observed Treatment Short Course (CDOTS) at size we could do. Within these ODs, reported detection rate are as high as 82% Cure rates for TB treatment through CDOTS are similarly impressive, ranging from 90 to 100%. In the mean time, our key partner of the National TB Program, helping strengthen public sector capacity in TB laboratory; health information system by coordination between TB and HIV/AIDS services; Public-Private Mix and promoting healthier community TB care-seeking behaviors.
 

We also aim at supporting in malaria prevention and treatment focused on insecticide-treated bed net distribution, re-impregnation of bed nets with insecticide. We will provide the training and the treatment of malaria, and monitoring anti-malaria drug resistance.

To respond to the growing threat of avian influenza (AI), SIDO will work the Royal Government of Cambodia for improved animal and human disease health surveillance; early warning at the community level, development of a national-level preparedness plan, and behavior change communication.

 
 
HIV/AIDS Transmission and Impact reduced
As the record said Cambodia is a model of success among other developing countries. After many years of huge investment from donor countries and with work of SIDO and its partners in HIV/AIDS prevention and care, Cambodia is on track to meet Millennium Development Goal 6:¨Halt and reverse spread of HIV/AIDS by 2015¨. The Royal Government of Cambodian remarkably cooperative and pragmatic approaches and the donor community for HIV/AIDS work in Cambodia have been crucial to reducing HIV prevalence by half over the past decade. As our work report, almost 80% of Cambodians advanced HIV diseases are receiving antiretroviral treatment (ART), and an additional about 9,500 persons living with HIV/AIDS are receiving treatment for opportunistic infections both by traditional and scientific way.
 
From its starting 2007, we continue the USG’s fruitful network collaboration with Cambodia’s national HIV/AIDS Authority and Program. Policy and Technical contributions to effectively and economically use resources, our HIV program furthers to other SIDO investments in Cambodia. For example, we prevent ¨Mother to Child¨ transmission of HIV by linking HIV interventions to improvements we are making to antenatal and maternal health services.
 
 
Our team provides technical assistance and funding also support essential clinical and home-based Palliate care and ART through Cambodia’s “Continuum of Care (CoC),¨ which provides an array of quality care, support, and treatment services to persons living with HIV/AIDS. Also our work is strengthening public sector and LNGO organizational capacity to deliver services through the CoC at every level of the health system. It is also our work in reducing stigma and in meaningful engagement of PLWHA and members of other high risk groups in program implementation is a hallmark of our approach.
 


Child survival, Health and Nutrition to be improved
With more than 50,000 children under five dying in Cambodia each year. Infant mortality rates are 66/1000 live births (CDHS 2005), still higher than in neighboring Vietnam or Thailand. Reducing child mortality is a major challenge, as one in every 12 children dies before reaching age five. Most of these deaths are preventable. Yet without focused interventions, this rate is likely to increase especially among children under the age of one.

The Ministry of Health, with technical assistance from external sources, among other donors, is now implementing Cambodia’s first national Child Survival Strategy, coordinating and streamlining approaches for high impact child survival interventions in Cambodia.

Both SIDO revenue and external funded initiatives are having an impact. For example, most of children between the ages of 6 and 59 months receive Vitamin A to prevent blindness and strengthen their immune systems common childhood diseases. Immunization rates for children under 12 months of age have increased, with measles coverage as high as remarkable. Our work assistance has also helped reduce the impact of iodine deficiency, as almost three-quarters of Cambodian households have salt with some iodine.

 
 
 

“An effective Intervention of referral network to empower garment factory women access VCCT services”

It is estimated that at 300,000 young Cambodian women are employed in garment factories located in and around the city. These young women are migrants from rural areas, away from their families for the first time; inexperience and poverty render them vulnerable to HIV/AIDS transmission and sexual exploitation.

The health program of SIDO in Cambodia is working to develop the capacity of local NGOs, private sector and government to meet the need and demand of youth for HIV/AIDS prevention and family planning information and services. The program aims to increase people's awareness of HIV/AIDS/STI transmission and prevention and empower them with the knowledge, skills and confidence to make responsible choices, i.e. pre-marital abstinence for the unmarried, fidelity for the married, or correct and consistent condom use for those who are unwilling to be abstinent or faithful. An important part in responding to access the health services, the project is promoting voluntary counseling and testing (VCCT) for HIV and work through strengthen linkages between private sector to NGOs and Government health services.

In addition, the program is assisting in raising awareness of the benefits of VCCT through its referral network with government health centers, NGO health services, factory health clinics and Peer Educators, who have been trained and supported in actively promoting the benefits of VCCT and publicizing the locations of Ministry of Health approved VCCT centers. For young women, who are often hesitant to seek testing, the location of ‘youth friendly’ VCCT will be specifically publicized, e.g. the RHAC NGO clinics and ‘youth-friendly’ Health Centers. VCCT IEC is included information on HIV care and treatment to assure people that services are available if they test positive.

The program addresses the barriers to safe health practices for women and to support effective and positive behavioral change.

 
Health Education for Factory workers HIV/AIDS awareness among in Factory
 
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